Transcript The Joint Commission - Light PP Presentation

© Copyright, The Joint Commission
2015 National Patient
Safety Goals
Background
 The National Patient Safety Goals (NPSGs)
were established in 2002 to help accredited
organizations address specific areas of concern
in regards to patient safety
 The Patient Safety Advisory Group advises The
Joint Commission on the development and
updating of NPSGs
2015 National Patient Safety Goals - Pg. 2
© Copyright, The Joint Commission
 The first set of NPSGs was effective January 1,
2003
Patient Safety Advisory Group
 Panel of widely recognized patient safety experts
– Nurses, physicians, pharmacists, risk managers, clinical
engineers, other professionals
 Hands-on experience in addressing patient safety
issues in wide variety of health care settings
– NPSGs, Sentinel Event Alerts, standards and survey
processes, performance measures, educational
materials, Center for Transforming Healthcare projects
2015 National Patient Safety Goals - Pg. 3
© Copyright, The Joint Commission
 Advises The Joint Commission how to address
emerging patient safety issues
2015 NPSGs
No new Goals for 2015
NPSG.15.02.01 on home oxygen safety
modified for home care
2015 National Patient Safety Goals - Pg. 4
© Copyright, The Joint Commission
Minor language changes for NPSG.03.04.01
(AHC, HAP, CAH, OBS)
Patient Identification
Goal 1:
2015 National Patient Safety Goals - Pg. 5
© Copyright, The Joint Commission
Improve the accuracy of patient
identification.
Patient Identification
NPSG.01.01.01: Use at least two patient
identifiers when providing care, treatment
and services.
2015 National Patient Safety Goals - Pg. 6
© Copyright, The Joint Commission
• Applies to: Ambulatory, Behavioral Health Care, Critical
Access Hospital, Home Care, Hospital, Laboratory, Nursing
Care Center, Office-Based Surgery
Patient Identification
NPSG.01.03.01: Eliminate transfusion
errors related to patient misidentification.
2015 National Patient Safety Goals - Pg. 7
© Copyright, The Joint Commission
• Applies to: Ambulatory, Critical Access Hospital,
Hospital, Office-Based Surgery
Improve Communication
Goal 2:
2015 National Patient Safety Goals - Pg. 8
© Copyright, The Joint Commission
Improve the effectiveness of
communication among caregivers.
Improve Communication
NPSG.02.03.01: Report critical results of
tests and diagnostic procedures on a timely
basis.
2015 National Patient Safety Goals - Pg. 9
© Copyright, The Joint Commission
• Applies to: Critical Access Hospital, Hospital, Laboratory
Medication Safety
Goal 3:
2015 National Patient Safety Goals - Pg. 10
© Copyright, The Joint Commission
Improve the safety of using medications.
Medication Safety
NPSG.03.04.01: Label all medications,
medication containers, and other solutions
on and off the sterile field in perioperative
and other procedural settings.
2015 National Patient Safety Goals - Pg. 11
© Copyright, The Joint Commission
• Applies to: Ambulatory, Critical Access Hospital,
Hospital, Office Based Surgery
Medication Safety
NPSG.03.05.01: Reduce the likelihood
of patient harm associated with the use
of anticoagulant therapy.
2015 National Patient Safety Goals - Pg. 12
© Copyright, The Joint Commission
• Applies to: Ambulatory, Critical Access Hospital,
Hospital, Nursing Care Center
Medication Safety
NPSG.03.06.01: Maintain and communicate
accurate patient medication information.
2015 National Patient Safety Goals - Pg. 13
© Copyright, The Joint Commission
• Applies to: Ambulatory, Behavioral Health Care, Critical
Access Hospital, Home Care, Hospital, Nursing Care
Center, Office-Based Surgery
Clinical Alarm Safety
Goal 6:
2015 National Patient Safety Goals - Pg. 14
© Copyright, The Joint Commission
Reduce the harm associated with clinical
alarm systems.
Clinical Alarm Safety
NPSG.06.01.01: Improve the safety of
clinical alarm systems.
2015 National Patient Safety Goals - Pg. 15
© Copyright, The Joint Commission
• Applies to: Critical Access Hospital, Hospital
Health Care-Associated Infections
Goal 7:
2015 National Patient Safety Goals - Pg. 16
© Copyright, The Joint Commission
Reduce the risk of health care-associated
infections.
Health Care-Associated Infections
• Applies to: Ambulatory, Behavioral Health Care, Critical
Access Hospital, Home Care, Hospital, Laboratory, Nursing
Care Center, Office-Based Surgery
2015 National Patient Safety Goals - Pg. 17
© Copyright, The Joint Commission
NPSG.07.01.01: Comply with either the
current Centers for Disease Control and
Prevention (CDC) hand hygiene guidelines
or the current World Health Organization
(WHO) hand hygiene guidelines.
Health Care-Associated Infections
NPSG.07.03.01: Implement evidencebased practices to prevent health careassociated infections due to multidrugresistant organisms in acute care hospitals.
2015 National Patient Safety Goals - Pg. 18
© Copyright, The Joint Commission
• Applies to: Critical Access Hospital, Hospital
Health Care-Associated Infections
NPSG.07.04.01: Implement evidencebased practices to prevent central lineassociated bloodstream infections.
2015 National Patient Safety Goals - Pg. 19
© Copyright, The Joint Commission
• Applies to: Critical Access Hospital, Hospital, Nursing
Care Center
Health Care-Associated Infections
NPSG.07.05.01: Implement evidencebased practices for preventing surgical
site infections.
2015 National Patient Safety Goals - Pg. 20
© Copyright, The Joint Commission
• Applies to: Ambulatory, Critical Access Hospital,
Hospital, Office-Based Surgery
Health Care-Associated Infections
NPSG.07.06.01: Implement evidencebased practices to prevent indwelling
catheter-associated urinary tract
infections (CAUTI).
(Note: This NPSG is not applicable to pediatric
populations. Research resulting in evidence-based
practices was conducted with adults, and there is not
consensus that these practices apply to children.)
2015 National Patient Safety Goals - Pg. 21
© Copyright, The Joint Commission
• Applies to: Critical Access Hospital, Hospital
Reduce Falls
Goal 9:
2015 National Patient Safety Goals - Pg. 22
© Copyright, The Joint Commission
Reduce the risk of patient harm resulting
from falls.
Reduce Falls
NPSG.09.02.01: Reduce the risk of falls.
2015 National Patient Safety Goals - Pg. 23
© Copyright, The Joint Commission
• Applies to: Home Care, Nursing Care Center
Pressure Ulcers
Goal 14:
2015 National Patient Safety Goals - Pg. 24
© Copyright, The Joint Commission
Prevent health care-associated pressure
ulcers (decubitus ulcers).
Pressure Ulcers
NPSG.14.01.01: Assess and periodically
reassess each resident’s risk for developing
a pressure ulcer and take action to address
any identified risks.
Applies to: Nursing Care Center
2015 National Patient Safety Goals - Pg. 25
© Copyright, The Joint Commission
•
Risk Assessment
Goal 15:
2015 National Patient Safety Goals - Pg. 26
© Copyright, The Joint Commission
The organization identifies safety risks
inherent in its patient population.
Risk Assessment
NPSG.15.01.01: Identify patients at risk
for suicide.
• Applies to: Behavioral Health Care, Hospital
2015 National Patient Safety Goals - Pg. 27
© Copyright, The Joint Commission
(Applicable to psychiatric hospitals and patients being
treated for emotional or behavioral disorders in general
hospitals.)
Risk Assessment
NPSG.15.02.01: Identify risks associated
with home oxygen therapy, such as home
fires.
2015 National Patient Safety Goals - Pg. 28
© Copyright, The Joint Commission
• Applies to: Home Care
Universal Protocol for Preventing Wrong Site,
Wrong Procedure, Wrong Person Surgery™
UP.01.01.01: Conduct a preprocedure
verification process.
2015 National Patient Safety Goals - Pg. 29
© Copyright, The Joint Commission
• Applies to: Ambulatory, Critical Access Hospital,
Hospital, Office-Based Surgery
Universal Protocol for Preventing Wrong Site,
Wrong Procedure, Wrong Person Surgery™
UP.01.02.01: Mark the procedure site.
2015 National Patient Safety Goals - Pg. 30
© Copyright, The Joint Commission
• Applies to: Ambulatory, Critical Access Hospital,
Hospital, Office-Based Surgery
Universal Protocol for Preventing Wrong Site,
Wrong Procedure, Wrong Person Surgery™
UP.01.03.01: A time-out is performed
before the procedure.
2015 National Patient Safety Goals - Pg. 31
© Copyright, The Joint Commission
• Applies to: Ambulatory, Critical Access Hospital,
Hospital, Office-Based Surgery
For more information…
Questions can be sent to the Standards
Interpretation Group at 630-792-5900 or
via the Standards Online Question Form
2015 National Patient Safety Goals - Pg. 32
© Copyright, The Joint Commission
The National Patient Safety Goals for
each program and more information are
available on The Joint Commission
website at www.jointcommission.org